Organization
CHRISTIAN COUNSELING CENTER OF ANNAPOLIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SABRINA ANN MACKALL (CREDENTIALING SEPCIALIST)
(410) 266-8345
Entity
Organization
Contact information
Practice address
108 OLD SOLOMONS ISLAND RD, U-7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Mailing address
108 OLD SOLOMONS ISLAND RD, U-7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522901400
—
MD
Enumeration date
07/30/2006
Last updated
09/05/2013
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